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The interface between health systems and vertical programmes in Francophone Africa: the managers' perceptions
Basile Keugoung1, Jean Macq, Anne Buvé
1Ministry of Public Health, Yaounde, Cameroun. bkeugoung@itg.be
Tropical Medicine & International Health : TM & IH
|January 12, 2011
Summary
Vertical programmes (VPs) impact general health services (GHS) in sub-Saharan Africa, with negative effects potentially undermining long-term capacity. Systematic monitoring is crucial for addressing these disruptions and building stronger health systems.
Area of Science:
- Public Health
- Health Systems Research
- International Health
Background:
- Vertical programmes (VPs) are common in sub-Saharan Africa, aiming to address specific health issues.
- The integration and interface between VPs and general health services (GHS) are critical for overall health system functioning.
- Understanding this interface is essential for optimizing resource allocation and service delivery.
Purpose of the Study:
- To explore the complex interface between vertical programmes (VPs) and general health services (GHS) in sub-Saharan Africa.
- To analyze the perceptions of health system managers regarding the nature and quality of this interface.
- To identify the impacts of VPs on GHS functioning and institutional capacity.
Main Methods:
- Semi-structured interviews were conducted with mid-level health system managers.
- Participants were selected from francophone African countries with experience in both VPs and GHS.
- Qualitative data analysis was used to understand perceptions of the VP-GHS interface.
Main Results:
- Respondents reported both positive and negative effects of VPs on GHS.
- Negative effects can significantly disrupt healthcare management and undermine long-term institutional capacity.
- The quality and nature of the VP-GHS interface are highly variable across time, settings, and specific programmes.
Conclusions:
- A more systematic approach to monitoring the VP-GHS interface is recommended.
- Timely identification and mitigation of disruptive effects are necessary for systemic capacity building.
- Strengthening the interface is key to enhancing the overall resilience and effectiveness of health systems.
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